NIMHANS PG Paper 2002 (Part 2 of 14)

The first step on priority basis required in the management of status epilepticus is

IV Diazepam

IV phenytoin

Airway mainetenance

IV phenobarbitone

A patient develops mitral regurgitation following myocardial infarction. The likely cuase for this complication is

Infarction involving the valve

Rupture of chordae tendinae

Dilatation of the ventricle

Atrial fibrillation

A patient with congestive heart failure was started on digoxin and diuretics. He later presents with bradycardia and GIT upset and visual disturbances. His K + was found to be 2.5. The reason for these features is

Left ventricular aneurysm

Digoxin toxicity

Viral gastroenteritis

Hypokalemia

Oculomotor nerve passes between which of the following

Superior cerebellar artery and posterior cerebral artery

Anterior inferior cerebellar artery and middle cerebral artery

Anterior inferior cerebellar artery and posterior cerebellar artery

Posterior cerebral artery and anterior communicating artery

In a patient with complete median nerve palsy the function totally lost is

Flexion

Abduction

Adduction

Opposition

Supracondylar fracture is associated most commonly with which of the following nerve lesions

Ulnar nerve

Radial nerve

Median nerve

Posterior interossios nerve

In Dupytrens contracture true is

It is due to acute tenosynovitis

The treatment is total excision of the palmar fascia

The mainstay of treatment is steroids and physiotherapy

The little finger is rarely involved

Infection from flexor pollicis longus sheath would most likely spread to

2nd digit

3rd digit

4th digit

5th digit

A 60 year old patient came with 4 episodes of massive bleeding per rectum. On examination the abdomen is soft and there is no tenderness, with bowel sounds being normal. The most likely diagnosis is

Diverticulitis

Carcinoma rectum

Heamorroids

Peptic ulcer disease

In intestinal obstruction true is

Closed loop obstruction is to be treated as an emergency

Long tubes used to treat obstruction are now outdated and not used in modern practice

A delay in operation in a patient with partial loop obstruction is not beneficial as compared to an early operation

In strangulated obstruction the events occur so fast that fluid and electrolyte disturbances do not occur at the time of presentation